category 4 a - oasis data set forms - Missouri Department of Health ...

Q16. [Q&A RETIRED 01/08 due to changes in OASIS data set and skip patterns at
follow-up (RFA 4, 5)]
[Q&A EDITED 08/07; ADDED 06/05; Previously CMS OCCB 08/04 Q&A #1]
Q17. Unless otherwise indicated, scoring of OASIS items is based on the patient's
status on the “day of the assessment.” Does the “day of the assessment” refer to
the calendar day or the most recent 24- hour period?
A17. Since home care visits can occur at any time of the day, and to standardize the
time frame for assessment data, the “day of the assessment” refers to the 24-hour
period directly preceding the assessment visit, plus the time the clinician is in the home
conducting the assessment. This standard definition ensures that fluctuations in patient
status that may occur at particular times during the day can be considered in
determining the patient’s ability and status, regardless of the time of day of the visit.
Q18. [Q&A RETIRED 09/09; Outdated]
[Q&A ADDED & EDITED 09/09; Previously CMS OCCB 01/08 Q&A #4]
Q19. Must the OASIS-C items (on the screen and when printed) match the data set
language and format exactly?
A19. The OASIS hard copy information for the chart printed out by a point of care
system must match the OASIS-C data set exactly, including formatting and wording for
the items. If the printout of the assessment (i.e., the "hard copy" to be retained in the
patient's clinical record) does not match the assessment data entered and submitted to
the state, that may be problematic for the following reasons: 1) State surveyors will likely
review records and compare the record on site in the agency with the data submitted to
the state; 2) If a patient record was requested by the Fiscal Intermediary for medical
review, it would be imperative that the printed record match the data collected and
submitted to the state (since the same data were used to document the plan of care and
calculate the billing codes); and 3) One way for an agency to monitor quality is to review
responses to OASIS items in clinical records and compare those responses with data
collected at prior and subsequent visits to the same patient. If any of these processes
would be complicated by the printouts received from your system, it could create
problems for the agency.
Due to the size and complexity of some of the items (e.g.
M1020/1022/1024/1308/2100/22502400) the formatting may be modified to fit the
computer screen as long as the hard copy print out matches the data set and the
modification in no way impacts the accuracy of the item scoring.
[Q&A ADDED & EDITED 09/09; Previously CMS OCCB 07/08 Q&A #2]
Q20. Our agency has been using a typical OASIS form that integrated the
comprehensive assessment information with OASIS (as required by the
Conditions of Participation) within one single form. We recently decided to use
two separate forms. One form is the Comprehensive Assessment as stated above
and the second is CMS OASIS-C. Someone told us that this was unacceptable
and a single, physically integrated form is required. Is this true?
A20. In order to be compliant with the Medicare Condition of Participation, 484.55,
Comprehensive Assessment of Patients, the OASIS Assessment Items must be
Category 4 – OASIS Data Set – Forms and Items 09/09